-
used for removal of begning and cancerous lesions.
done w/ use of operating microscope'
may employ forceps, scissors, CO2 laser?
Endolaryngeal microsurgery
-
endolaryngeal microsurgery
Goal:?
remove lesion by only taking as much VF tissue as necessary and preserving as much of the mucosa as possible.
-
Two methods of VF medialization: ?
- 1. Intrafold injection
- 2. medialization surgery
-
Two methods of VF medialization: for pts with?
- unilateral paralysis
- Bowing
- Glottic incompetency
-
Two methods of VF medialization:
medialization surgeries are?
- 1. augmentation
- 2. medial shift of thyroid cart
- 3. rotation of arytenoid cart
-
Neuromuscular surgery for ? is ?
- VF paralysis
- reinnercation of RLN
-
Anterior Web?
web is sectioned or removed with a CO2 laser
A keel or silicone plate is then inserted to prevent the VFs from post-surgical union
-
Essential Tremor
Medication?
- propranolol (beta blocker)
- Primidone (anticonvulsant)
-
Essential Tremor
Amp of tremor can be ___ but not the __?
____ exs ?
Dec?
Try?
___ support?
- dec
- frequency
- Crescendo (soft to loud)
- negative compensatory strategies
- diff pitch and loudness
- breath
-
TX for VF Papilloma:
Surgery?
Medications?
1. ___ for aggressive VFP
2. ___ alters growth pattern of VFP
3. ____ antiviral injected into the papillomas
4.____ chemo, blocks growth of papillomas
pulse dye laser
- 1. Interferons
- 2. Indole 3 carbinol
- 3. Cidofovir
- 4. Methatrexate
-
Spasmodic Dysphonia?
___?
____?
voice tx to (3)?
- botox injections
- RLN resection
- 1. eliminate neg comp strat
- 2. improve breath support
- 3. dec muscle tension in jaw, face, neck, shoulders
-
Paradoxical VF movement
____ breathing?
focus on?
use ?
relaxed ____ during stridor?
may also need ?
__?
- diaphramatic
- exhalation
- "sniffing" as exaggerated inhalation
- throat breathing
- generalized relaxtion, digital manipulation
- In-depth self-awareness of breathing process
-
PVFM- Martin, Blager, Gay, et. al
Inhalation ?
Relaxed?
Prolonged?
Diaphragmatic breathing w/ emphasis on?
- through nose w/ lips closed
- tongue posture
- audible exhalation through pursed lips or production of /s/
- exhalation
-
Parkinson's Disease
_____ TX?
1. sustained loud /a/
2. pitch glides up and down
3. use of loud voice for functional phrases, sentences, etc.
4. take use of loud voice out of clinic into public settings
Research shows incr ___, ____, and improved___?
Lee Silverman
- incr glottic closure, louder voice
- vocal quality, improved articulation & swallowing
-
Myasthenia Gravis- TX with _____?
Other progressive neuological diseases- tx techniques are dependent on ?
For many prognosis is poor and an ___ is necessary?
medication- Pyrigdostigmine (anti-cholinesterase) delays destruction of acetylcholine at NMJ
characteristics of disease- strain/strangled, weak, breathy, etc.
AAC device
-
TBI, Hyperkinetic Dysarthria, CP
1. Address ___- inc ___ & in both ___ and ____?
2. Teach ___ to dec___?
3. Utilize ___
4. Use ___ tx
- breathing
- support
- inspiratory and expiratory volume
- easy onsets
- excessive muscle activity
- aspiration , ie. air flow prior to voicing
- Lee Silverman Voice
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